It was reported this was a mitraclip procedure to treat functional mitral regurgitation (mr) with a grade of 4 and a restricted posterior leaflet.An xtw clip was prepared per the instructions for use (ifu) and inserted without issues.However, while positioning the clip, the anterior gripper became caught on the anterior leaflet.Troubleshooting was performed and the clip was removed from the leaflet without causing damage.It was then observed the gripper no longer lowered.Therefore, the clip was removed and replaced.One clip was then deployed, reducing mr to a grade of 1.There were no adverse patient effects and no clinically significant delay in the procedure.
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